Medicaid Long-Term Services and Supports: Key Considerations for Successful Transitions from Fee-For-Service to Capitated Managed Care Programs
Although relatively few Medicaid beneficiaries are in capitated managed long-term services and supports (LTSS) programs, significant expansion is anticipated as more than half of states are implementing or proposing new programs that would include a transition from fee-for-service (FFS) to capitated managed care in the LTSS delivery system. By definition, these Medicaid beneficiaries need assistance with activities of daily living. Thus poor transitions, particularly those that lead to gaps in services, can have dire consequences. This issue paper examines key policy and operational considerations related to the transition from FFS to risk-based capitated managed care for LTSS.
Issue Brief (.pdf)
also of interest
- Measuring Long-Term Services and Supports Rebalancing
- Rebalancing in Capitated Medicaid Managed Long-Term Services and Supports Programs: Key Issues from a Roundtable Discussion on Measuring Performance
- Key Themes in Capitated Medicaid Managed Long-Term Services and Supports Waivers
- Medicaid Beneficiaries Who Need Home and Community-Based Services: Supporting Independent Living and Community Integration